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VLCAD Enzyme Activity Test

New York rates for HCPCS 0257U

Measures how well the enzyme VLCAD is working in white blood cells from a whole blood sample. VLCAD helps the body break down certain fats for energy; this test measures the enzyme's activity rather than examining the gene that makes it.

Rates data updated July 2026.

How much does VLCAD Enzyme Activity Test cost?

$550

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $1,230 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$12.88 to $575
FacilityA hospital or hospital-owned outpatient department$1,230$724 to $1,660

How much rates vary

Facilitymedian $1,230 · 10th to 90th $575 to $1,950Professionalmedian $389 · 10th to 90th $9 to $603
$10$50$200$1Kfacility $1,230professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,288.25
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$602.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$3,467.37
Typical High
$3,467.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$2,754.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$1,380.38
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$794.33
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$1,023.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$812.83
Univera
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$812.83

Where New York sits

The same service costs 3.6 times more in North Dakota than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 38th of 51

$550

ND $1,096OK $302

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.